Interior 2_2006.qxd - Oftalmologia.ro

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OFTALMOLOGIA 2 - 2006 de vedere tehnic, nu este insotita de complicatii, poate fi repetata, iar aspectul estetic este mai bun decat in cazul acoperirii conjunctivale. - ca dezavantaj este faptul ca bulelel epiteliale pot aparea intr-un procent variabil ( 15- 70% din cazuri) dupa resorbtia completa a membranei. BIBLIOGRAFIE 1. Alino A.M., Perry H.D., Kanellopoulos A. et al., Conjunctival flaps, Ophthalmology, 1998 105:1120-1123 2. Aquavella J. V., - e-medicine.com , Keratopathy, Pseudophakic Bullous, May, 5, 2005 3. Aquavella J.V., : Cronic corneal edema, Am. J. Ophthalmol., 1973, Aug, 76 (2): 201-7 4. Hao T., Ma D.H., Hwang D.G., Kim W.S. - Identification of antiangiogenic and anti-inflammatory proteins in human amniotic membrane, B. J. Ophthalmol, 2000, 19: 348 - 52 5. Hogan M.J., Alvarada J.A., Wadell J.E., Histology of the human eye. An atlas and textbook, 1st. ed. Philadelphia: Saunders, 1971, 62 - 63 6. Koenig S.B. - Annular keratotomy for the treatment of painful bullous keratopathy Am. J. Ophthalmol, 1996, Jan, 121(1): 93-4 7. Lopez Ferrando N., Celis Sandrez J., Gonzales Del Valle F., Lopez Mondehar E. - Monolayered amniotic membrane transplantation as palliative treatment for bullous keratopathy, Arch Soc Esp Ophtalmol, 2004 , Jan , 79(1) 27-31 8. M. Muraine, G. Descargues, O. Franck, F. Villeroy et. al. - La greffe de membrane amniotique dans le patologie oculaire de surface - J. Français d'Ophtalmologie, vol 24 N 8, Oct 2001, pg. 798-812 9. Marisi A., Aquavella J.V.,: Hipertonic saline solution in corneal edema , Ann. Ophthalmolo 1975, Feb 7(2) 121-124 10. Meja L.F., Santamaria J.P., Acosta C. - Simptomatic management of postoperative bullous keratopathy with non preserved human amniotic membrane, Cornea, 2003, Mar 22(2): 187-188 11. Mrukwa Kominek E., Gierek- Ciaciura S., Rokita Wela I., Szymkewicck M. - Use of amniotic membrane transplantation for treating bullous keratopathy - Klin Oczna, 2002, 104 (1) 41-6 12. Pey-Yu Lin, Chih- Chiau Wu, Shui-Mei Lee - Combined phototherapeutic keratectomy and therapeutic contact lens for recurrent erosions in bullous keratopathy 13. Pires R.T., Tseng S.C., Phabhasawat P., Maskin S.L., Kim J. C., Tau D.T. - Amniotic membrane transplantation for symptomatic bullous keratopathy, Arch Ophthalmol, 1999, Oct; 117(10): 1291-7 14. Raj Maini, Laurence Sullivan, Grant P. Snibson, Hugh R. Taylor, Michael Loughnann - A comparison of different depth ablation in the treatment of painful bullous keratopathy with phototherapeutic keratectomy - Br. J. Ophthalmol 2001; August 85: 912-915 15. Ruben M. Soft contact lens treatment of bullous keratopathy. Trans Ophthalmol Soc U.K. 1975; 95 75-78 16. Sridhar M.S., Vemuganth G.K., Bansal A.K., Rao G.N. Anterior stromal puncture in bullous keratopathy: a clinico-pathologic study, Cornea, 2001, Aug, 20 (6): 573-9 17. Tsai T.C., SU C.Y., Lin C.P., Anterior stromal puncture for bullous keratopathy, Ophthalmic Surg. Laser Imaging, 2003, Sep - Oct 34(5): 371-4 18. Tsung S.C., Li D.Q., Mae X. - Supression of transforming growth factor - beta isoform, TGF - beta receptor tip II of human corneal and limbal fibroblast by amniotic membrane matrix, J. Cell Physiol , 1999, 179: 325-35 19. Yanoff M., Duker J., Ophthalmology ; 5.12.10 - 11, Mosby, 1999 26
OFTALMOLOGIA 2 - 2006 DRUSEN AL PAPILEI NERVULUI OPTIC SAMOIL~ O., C~LUG~RU D., C~LUG~RU M., KAUCSAR EMESE CLINICA OFTALMOLOGIC~ CLUJ REZUMAT Drusenul papilei nervului optic este o afec\iune frecvent`, cu patogenez` necunoscut`, cel mai adesea asimptomatic`. Prezent`m cazul unei paciente cu func\ie vizual` alterat`, care a reac\ionat favorabil la tratamentul antiinflamator ]i vasodilatator. CUVINTE CHEIE: • drusen papilar. ABSTRACT Optic nerve head drusen represents a frequent condition, with unknown pathogenesis, mostly asymptomatic. Here, we present a patient with visual impairment, who has reacted well to anti-inflammatory and vasodilator treatment. KEY WORDS: • optic disc drusen. Drusenul papilei nervului optic este o anomalie congenital`, reprezentând depozitarea la nivel papilar a unui material hialin, calcificat (1). Sunt leziuni relativ frecvente, cu o inciden\` de 0.34% în studii clinice ]i 2% în studii histologice (ceea ce înseamn` c` majoritatea drusenelor papilare r`mân nedescoperite) (2). În general sunt asimptomatice sau determin` minime modific`ri de câmp vizual periferic. Rareori func\ia vizual` este profund alterat`. Prezent`m cazul unei paciente de 54 de ani internat` în Clinica Oftalmologic` Cluj, acuzând sc`derea vederii de aproximativ 1 an (declar` "vedere întunecat`"). În urm` cu un an a fost examinat` de medic specialist oftalmolog, descoperindu-se un câmp vizual îngustat concentric, mai alterat la ochiul stâng. Tratamentul vasodilatator (Tanakan) efectuat timp de 6 luni nu a ameliorat semnificativ simptomatologia. Pacienta prezint` o patologie reumatismal` bine documentat` (discartroz` cervical` cu brahialgii, lombosacralgii subacute) ]i dischinezie biliar`. Examenul clinic general nu eviden\iaz` alte modific`ri patologice. La examenul oftalmologic: VOD=0.8nc, VOS=0.5nc, reflexele pupilare normale, u]oar` hipermetropie (+1.0 la OD, +0.75 la OS), TIOAO=14,6mmHg, pol anterior f`r` modific`ri. Oftalmoscopic se constat` la ambii ochi papile proeminente cu contur neregulat, ocupate de mase multiple g`lbui care dau papilei un aspect de "dud`", inel cenu]iu de atrofie peripapilar`, arboriza\ie excesiv` a vaselor retiniene la nivel papilar (aspect care va fi mai u]or de urm`rit angiofluorografic), artere retiniene înguste, macule cu reflex prezent. Aspectul oftalmoscopic pledeaz` pentru drusen papilar (Figura 1). Perimetria static` (la 30 ]i 60 grade) eviden\iaz` alter`ri profunde ale câmpului periferic în special, strâmtorarea concentric` fiind mai important` la ochiul stâng (aspectul 27
Page 1 and 2: REFERATE GENERALE Bogdana Virgolici
Page 3 and 4: OFTALMOLOGIA 2 - 2006 FACTORII DE R
Page 5 and 6: cataract` ]i neag` cre]terea riscul
Page 7 and 8: exemplu, statinele) nu s-au g`sit
Page 9 and 10: OFTALMOLOGIA 2 - 2006 27. Dinning W
Page 11 and 12: ABSTRACT A national and internation
Page 13 and 14: Tabel 1 - Clasificarea obiectivelor
Page 15 and 16: Figura II. Articole publicate cu pr
Page 17 and 18: BIBLIOGRAFIA OFTALMOLOGIA 2 - 2006
Page 19 and 20: viduale sau [n grup a CG. Este un p
Page 21 and 22: mecanice existente care scad ]i act
Page 23 and 24: OFTALMOLOGIA 2 - 2006 TRATAMENTUL P
Page 25: junctivale poate duce la accelerare
Page 29 and 30: Figura 3 - Ecografie ochiul stâng
Page 31 and 32: Figura 7 - Câmpul vizual computeri
Page 33 and 34: OFTALMOLOGIA 2 - 2006 coroidiene pr
Page 35 and 36: BIBLIOGRAFIE OFTALMOLOGIA 2 - 2006
Page 37 and 38: FIZIOPATOLOGIE Materialul cristalin
Page 39 and 40: CONCLUZII OFTALMOLOGIA 2 - 2006 Par
Page 41 and 42: logice sunt reperezentate de HTA, c
Page 43 and 44: OFTALMOLOGIA 2 - 2006 rologic` era
Page 45 and 46: INTRODUCTION The lens represents a
Page 47 and 48: tein" 2006 article. The presence of
Page 49 and 50: OFTALMOLOGIA 2 - 2006 LD Principle
Page 51 and 52: OFTALMOLOGIA 2 - 2006 LENTILA DE CO
Page 53 and 54: Astfel, indicatiile LCT sunt: 1. AF
Page 55 and 56: BIBLIOGRAFIE OFTALMOLOGIA 2 - 2006
Page 57 and 58: ABSTRACT OFTALMOLOGIA 2 - 2006 PURP
Page 59 and 60: OFTALMOLOGIA 2 - 2006 cate in liter
Page 61 and 62: REFERINTE OFTALMOLOGIA 2 - 2006 1.
Page 63 and 64: OFTALMOLOGIA 2 - 2006 PURPOSE To ev
Page 65 and 66: Evolu\ia acuit`\ii vizuale medii la
Page 67 and 68: OFTALMOLOGIA 2 - 2006 lare posterio
Page 69 and 70: ABSTRACT OFTALMOLOGIA 2 - 2006 PURP
Page 71 and 72: ioar` sau pl`gi corneo-sclerale. El
Page 73 and 74: OFTALMOLOGIA 2 - 2006 DIFICULT|}I T
Page 75 and 76: crioaplica\ii, care se remit sub tr
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OFTALMOLOGIA 2 - 2006 DÉCHIRURES D
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Le bord postérieur, dans 3 cas, se
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discrètes migrations pigmentées o
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) Il y est possible de trouver de p
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schisis-décollement. Pour 3 d'entr
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OFTALMOLOGIA 2 - 2006 PARTICULARIT|
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extrem de am`nun\it joac` un rol de
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Fig.5.Aspect preoperator al unei pa
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BIBLIOGRAFIE OFTALMOLOGIA 2 - 2006
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Abstract OFTALMOLOGIA 2 - 2006 Purp
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Grafic 1. Reparti\ia raportului C/D
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DISCU}II Perimetria automat` standa
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BIBLIOGRAFIE: OFTALMOLOGIA 2 - 2006
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OFTALMOLOGIA 2 - 2006 MODIFIC|RI CO
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Fragmentele biopsice de conjunctiv`
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CONCLUZII OFTALMOLOGIA 2 - 2006 1.
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ABSTRACT PURPOSE The aim of this pa
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Fig.2 - aspect retinofotografic al
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Fig.7 - retinofotografii la sfîr]i
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OFTALMOLOGIA 2 - 2006 EVOLU}IA FILM
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OFTALMOLOGIA 2 - 2006 • Din mediu
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Celelalte rezultate pozitive au fos
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OFTALMOLOGIA 2 - 2006 FLUCTUA}IILE
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La fiecare vizita stabilita s-a det
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OFTALMOLOGIA 2 - 2006 fluctuatii in
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Umectabilitatea este ob\inut` prin
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INSTRUC}IUNI PENTRU AUTORI Redactar
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TEHNOREDACTARE COMPUTERIZAT~ }I TIP
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